Assessment on the Determinants of Induced Abortion Among Childbearing Age Women in Non-Profittable Private Health Institutions, Addis Ababa, Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
Background: More than half of 80 million unintended pregnancies occurred worldwide would
end in abortion annually. In developing countries more than one-third of all pregnancies are
considered unintended and about 19% will end up in abortion. The determinants of induced
abortion are considered to be socio-demographic factors, prior reproductive health and family
planning behaviors and experiences. There is a need to address various problems with regards to
women reproductive health needs including contraceptive use.
Objective: To assess determinants of induced abortion among child bearing age women
attending reproductive health clinic in Addis Ababa.
Method: Institution based cross sectional study on assessment of determinants of induced
abortion was conducted in May 2014. Study subjects were women aged 18 to 49, attending
reproductive health clinic in Addis Ababa among who had experienced induced abortion by
convenience sampling. A structured pre-tested questionnaire was used to collect data on abortion
and related aspects.
Result: A total of 390 reproductive age women were interviewed. Mean age of the respondents
was 26 years. The most frequent reason for induced abortion mentioned by the respondents was
not using a contraceptive method 29.2%. Inappropriate use of contraceptive 15.8% and rape
8.2% were also mentioned by the respondents. Fifty three percent of the participants admitted for
using at least on method of contraceptive. Age and marital status were significantly associated
socio-demographic variables with induced abortion. Total number of live birth, contraceptive use
and future desire of pregnancy were also significantly associated variables.
Conclusion and recommendation: out of all respondents 93.8% mentioned one contraceptive
method, but still 55% women with induced abortion experience mentioned contraceptive related
reasons for having induced abortion. This shows that there is a big gap between the knowledge
and practice of contraceptive. Therefore, it is recommended that to strengthen and modify the
existing family planning program in order to reduce induced abortion.
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Keywords
Childbearing Age, Health Institutions